LA CLINIQUE LLC
NPI 1285401901
Family Medicine in Dalton, GA

Active since December 04, 2023
1240 N THORNTON AVE, DALTON, GA 30720(706) 229-9313(706) 229-9388 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About La Clinique Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LA CLINIQUE LLC (NPI 1285401901) is a healthcare organization registered as a family medicine in Dalton, Georgia and active in the NPI registry since December 2023. The organization lists Ramses Vega-casasnovas, Owner, as its authorized official.

NPPES Registry Identity

NPI1285401901
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLA CLINIQUE LLC
Location Address1240 N THORNTON AVEDalton, GA 30720-3605
Mailing Address1240 N Thornton AveDalton, GA 30720-3605 · (706) 229-9313 · Fax (706) 229-9388
Fax(706) 229-9388
Organization SubpartNo
Authorized OfficialRamses Vega-casasnovasOwner · (336) 688-6240
Enumeration DateDecember 4, 2023
Last NPPES UpdateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
✔ NPI 1285401901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
1240 N THORNTON AVE, Dalton, GA 30720

Other Names 1

Other NameNova Star Medical Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

La Clinique Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to La Clinique LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1962970400
1240 N THORNTON AVE
Dalton, GA 30720
(706) 229-9313
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1073741369
1240 N THORNTON AVE
Dalton, GA 30720
(706) 229-9313
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1659398592
121 FRANKLIN ST
Colon, MI 49040
(269) 432-3221
✔ PECOS✔ Accepts Medicare495 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is La Clinique LLC's NPI number?

The NPI number for La Clinique LLC is 1285401901. It was assigned to this organization in the NPPES registry on December 4, 2023. The provider is also known as Nova Star Medical Clinic.

Where is La Clinique LLC located?

La Clinique LLC is located at 1240 N Thornton Ave, Dalton, GA 30720. The listed phone number is (706) 229-9313.

What is La Clinique LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is La Clinique LLC enrolled in Medicare?

Yes. La Clinique LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through La Clinique LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to La Clinique LLC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for La Clinique LLC was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.